Medical and Surgical Nursing MCQ Set-30

Medical and Surgical Nursing MCQ Question 221:-


What should be the initial action of a medical surgical nurse if the patient was slurred speech and disorientated to time and place who sustained a head injury 24 hours ago?

(a) Re check the patient’s neurological status in 15 minutes
(b) prepare the patient for emergency surgery
(c) continue to hourly neurological assessments
(d) inform the neurosurgeon of the patient status

Medical and Surgical Nursing MCQ Question 222:-


Which of the following substances can lead to neurological injury in a newborn known as kernicterus?

(a) Bile salt
(b) conjugated bilirubin
(c) unconjugated bilirubin
(d) biliverdin

Medical and Surgical Nursing MCQ Question 223:-


A patient with cerebral thrombosis is scheduled for cerebral angiography. Which of the following nursing care is appropriate for this client?

(a) Inform the client that a warm, flushed feeling and salty taste may occur
(b) avoid applying a pressure dressing over this site of Puncture
(c) keep the extremity used as puncture site flexed to prevents bleeding
(d) all the above

Medical and Surgical Nursing MCQ Question 224:-


A 35 year old male patient is brought into the Emergency Room with a head injury following a road traffic accident. The patient is confused, Drowsy and has unequal pupils. Which of the following nursing diagnoses is given priority in this condition?

(a) Altered condition
(b) Altered cerebral tissue perfusion
(c) high risk for injury
(d) Altered sensory perception

Medical and Surgical Nursing MCQ Question 225:-


A patient was brought to the emergency department after a head injury. The nurse noticed that there is clear drainage from the nose. Which of the following tests is useful and most reliable to determine if the drainage is a cerebrospinal fluid?

(a) pH test
(b) test for Beta-2 transferrin
(c) test for glucose
(d) test for chloride

Medical and Surgical Nursing MCQ Question 226:-


What should the nurse do first when a male client is having a tonic-clonic seizure?

(a) Restrain the client’s arms and legs
(b) elevate the head of the bed
(c) place a tongue blade in the client’s mouth
(d) take measures to prevent injury

Medical and Surgical Nursing MCQ Question 227:-


An assessment specific to safe administration of IV mannitol

(a) Vital sign q4th
(b) Weighting daily
(c) Hourly urine output
(d) Level of consciousness

Medical and Surgical Nursing MCQ Question 228:-


Basic nursing measures in the care of patient with Viral encephalitis is

(a) providing comfort measure
(b) monitoring cardiac output
(c) administer narcotics
(d) administer amphotericin B

Medical and Surgical Nursing MCQ Question 229:-


Later signs of increased intracranial pressure (ICP) include which of the following?

(a) Narrow pulse pressure
(b) increased blood pressure
(c) decrease pulse rate
(d) projectile vomiting

Medical and Surgical Nursing MCQ Question 230:-


Which among of the following statement is false regarding risk factors for ischemic heart disease:

(a) regular aerobic exercise protects against ischemic heart disease
(b) elevated serum homocysteine is an independent risk factor
(c) Blood pressure lowering reduce the risk of ischemic cardiac events
(d) Women on hormone replacement therapy are at risk for ischemic heart disease

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